[Question #3434] risk assesment

35 months ago
hello doctors my question is a little awkward I was with a sex worker not from the street but call girl and is well groomed and not indication of drug abuse (at least that what i was able to see) well i was kind of drunk but remember everything to detail,  we started by placing the condom on me and had vaginal sex, but after 3min we swithch position and realize there was a little blood on my penis with the comdon on and I told her and she was very embarrased and told me her period migth of started early, so she took paper towel and clean it off  and started giving me a blow job still the condom on, I wasnt coming so she took of the condom and started a hand job and when I was exited she gave me blow job but with out condom and i came outside. So my questions 1-the condom was always in its place and didnt brake can the blood from her period have enter throu the condom when we were having vaginal sex ? 2 she cleaned the blood with a paper towel and gave me a blow job but with the same comdon, the remainig blood got on her mouth, can that blood infected me with hiv when she gave me the blow job but with out the condom and can believe im even asking this its a mess, 3 can I get hiv from reciving a blow job thank you
Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
Welcome to our Forum.  I'll be glad to comment on your concerns.  None of the activities that you have described place you at risk for HIV and there is no medical reason for HIV testing.  I say this with confidence for several reasons.  These include:

1.  In general most commercial sex workers do not have STIs. This is particularly true for call girls and other non-street walker CSWs.  These persons are professionals, are well aware of the risks associated with their profession and take appropriate steps to avoid infection. 
2.  Condoms are highly effective for HIV prevention and even in the unlikely circumstance that your partner had HIV, your intact condom prevented you from exposure during vaginal penetration..  As an FYI, when condoms appear intact, they are and when they fail they break wide open.
3.  The presence of menstrual blood has no affect on risk for HIV.  Vaginal secretions have at least as much HIV in them as menstrual blood.  Thus that your partner was having her period during your encounter and she may have gotten some menstrual blood on you or in her mouth before she performed oral sex on you does not put you at risk for HIV,
4. There is no known risk of HIV from receiving unprotected oral sex from an infected person.  There has never been a proven case in which someone acquired HIV from receipt of oral sex.  This is true whether the person has blood in their mouth, gum disease, or oral sores.

I hope my comments are helpful.  There is no reason for concern about HIV from the events that you describe above.  EWH
---
35 months ago
thank you doctor, frist let me say im amazed with all the information here, Frist of all if you have sex with someone who is hiv positive, (vaginal with out condom) you have a 1 in 1,000 I think it was chances to get infected. WOW I always tougth once and you were doomed, althou im sure it has happen. Second aparetly hiv is a fragil virus, so in my case when I pull out to change positions, and saw the blood on the condom, whe she took the paper towel and clean it off, from what i read the virus migth of die Third my main concern is that after she clean my penis with the condom on, she started oral sex on me with the condom, and some particles left on the condom got on her mouth, is this posible ? ( i think im starting to sound crazy ) buuuuuut i also read that the mouth is a hostile place for the virus Fourth out of all the things I´ve read so far in diferent sites aparantly EVERYONE agrees that RECIVING  a blow job (not giving one) is safe on regards of hiv. So as you can see doctor i´ve learned a couple of things, so what should I do doc leave it be ? test ? turn the page ? I mean this is why im here for advise, so I will listen to what ever is it taht you recomend me to do ?
Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
Thanks for your comments on our site.  Your summary is right on target.  There is no reason for HIV testing related to any of the activities you describe.  There is a slight risk of getting gonorrhea and perhaps chlamydia from receipt of oral sex but these infections are typically symptomatic.  Thus I see no need for HIV testing and little need for testing for gonorrhea or chlamydia but if you are at all concerned, you could go on an test for those infections.  EWH
---
35 months ago
Thank you doctor, since we are here to ask but also to learn, In order to have a safe aproach towards sexual life, if I limit my self to RECIVING oral sex from a woman with OUT a condom for a minute or two to reach erection and then proceed to vaginal sex WITH condom on until completion, Should I be safe in regards of HIV trasnmision ??? thank you doctor for your coments and if you tell me there is no need to test for hiv from the exposures i mention before, well then I will move on with my life, cause we are here for an expert opinion, and I dont think that when it comes to sexual health, we could be in better hands than yourself and Doctor H 
Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
Thanks for your thanks. 

Your summary is correct  No one has EVER been proven to have acquired HIV from receipt of oral sex from an infected person.  This is a no risk event.  Similarly when worn throught sex and without breakage, condom-protected sex is safe sex with no risk for HIV.  In suh situations, there is no reason for concern about HIV/.

As you know, this is my third response to your questions. Thus this thread will be closed, as per Forum guidelines later today.  Take care.  EWH
---